ArticleFrontiers in pediatrics2025
Birth injuries in late preterm and term neonates after instrumental delivery: a prospective study on short-term and developmental outcomes.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Neurodevelopmental outcomes of children born to diabetic mothers in the Qatari population: a retrospective study.BMJ paediatrics open · 2026Article
- Operative Vaginal Delivery Compared to Cesarean After Failed Labor: A Population-Based Analysis of Neonatal and Maternal Outcomes.Children (Basel, Switzerland) · 2026Article
- Development and validation of a predictive model for forceps delivery risk in term singleton primiparas for early identification and labor management optimization.Frontiers in medicine · 2026Article
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Authors and funding
12 authors.
Funding
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Abstract
Background: Instrumental vaginal delivery is a common obstetric procedure with potential neonatal complications. This study evaluated birth injuries and neurodevelopmental outcomes in neonates born at ≥35 weeks' gestation following instrumental vaginal delivery. Methods: A prospective observational cohort conducted over 2 years (2021-2022) at Al Wakra Hospital, Qatar to assess birth injuries, neonatal intensive care unit (NICU) admission rates, and neurodevelopmental outcomes at 18 months in neonates born via instrumental delivery. Results: The study included 390 neonates born via instrumental delivery, with 84 birth injuries occurring in 80 neonates (20.5%). Cephalohematoma was the most common injury (43/84, 51.2%), followed by subgaleal hemorrhage and bone fractures (9/84, 10.7%) and intracranial hemorrhage (2/84, 2.38%). One neonatal death was associated with the combined use of vacuum and forceps. Birth injuries were more frequent with the combined use of vacuum and forceps (aOR 4.1, Conclusion: Instrumental vaginal delivery carries risks of birth injuries and neurodevelopmental challenges. Skilled application, careful assessment of indications, and long-term follow-up are essential to minimize complications and ensure optimal outcomes.
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